Provider Demographics
NPI:1871568758
Name:BLOCK, LINDA R (RD)
Entity type:Individual
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First Name:LINDA
Middle Name:R
Last Name:BLOCK
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Gender:F
Credentials:RD
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Mailing Address - Street 1:PO BOX 1309
Mailing Address - Street 2:MAIL STOP 21103E
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55440-1309
Mailing Address - Country:US
Mailing Address - Phone:952-883-5463
Mailing Address - Fax:952-883-5395
Practice Address - Street 1:8450 SEASONS PKWY
Practice Address - Street 2:MAIL STOP 32900A
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4402
Practice Address - Country:US
Practice Address - Phone:651-702-5300
Practice Address - Fax:952-967-7965
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2008-01-22
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Provider Licenses
StateLicense IDTaxonomies
MN2062133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered